Details

Autor(en) / Beteiligte

• Schoen, Cathy
• Osborn, Robin
• Huynh, Phuong Trang
• Doty, Michelle
• Davis, Karen
• Zapert, Kinga
• Peugh, Jordon

Titel

Primary care and health system performance: adults' experiences in five countries

Ist Teil von

• Health affairs (Millwood, Va.), 2004-07, Vol.Suppl Web Exclusives, p.W4-W4503

Ort / Verlag

United States: The People to People Health Foundation, Inc., Project HOPE

Erscheinungsjahr

2004

Quelle

PAIS Index

Beschreibungen/Notizen

• This paper reports on a 2004 survey of primary care experiences among adults in Australia, Canada, New Zealand, the United Kingdom, and the United States. The survey finds shortfalls in delivery of safe, effective, timely, or patient-centered care, with variations among countries. Delays in lab test results and test errors raise safety concerns. Failures to communicate, to engage patients, or to promote health are widespread. Aside from clinical preventive care, the United States performs poorly on most care dimensions in the study, with notable cost-related access concerns and short-term physician relationships. Contrasts across countries point to the potential to improve performance and to learn from international initiatives.